Interest Form For Reappointment On Boards and Commissions

The Greensboro City Council are committed to promoting a culture of diversity and equity throughout our city, therefore we encourage individuals with diverse backgrounds and experiences to apply for our committees. Having a diverse board/commission is critically important to us as it provide a wealth of experience, expertise, and perspectives.

Contact Information
Email Torie Howell
336-373-2396

Anyone who submits a form should be aware that in accordance with the North Carolina Public Records law, found in North Carolina General Statutes Chapter 132, their e-mail address is considered public record.

Reappointment to a Board or Commission*

InterestedNot Interested

What Board or Commission are you currently serving on?*

Use this space to provide any addition information you would like to share*

Name*

First NameLast Name

Home Address*

Street Address

Street Address Line 2

CityState

Zip Code

Home Phone or Cell*

Work Address

Street Address

Street Address Line 2

CityState

Zip Code

Work Phone

E-mail Address*

example@example.com

Gender*

MaleFemale

Race*

Profession (Title)*

Greensboro Council District Wherein Nominee Resides*

Must resides in the city of Greensboro

What District Am I In?

Specific City Board/Commission of Interest*

Provide Alternate City Board/Commission of Interest*

City Academy Graduate*

YesNo

Please Attach Resume

Submitting a resume is preferred

Signature*